Table of Contents

Locator Record

Title: Hospital Utilization and Access to Care (HUQ_C )
Contact Number: 1-866-441-NCHS
Years of Content: 2003 - 2004
First Published: August, 2006
Revised: NA
Access Constraints: None
Use Constraints: None
Geographic Coverage: National
Subject:Health Care Utilization
Record Source: NHANES 2003 - 2004
Survey Methodology: NHANES 2003 - 2004 is a stratified multistage probability sample of the civilian non-institutionalized population of the U.S.
Medium: NHANES Web site; SAS transport files

Component Description

The Hospital Utilization and Access to Care section (variable name prefix HUQ) provides SP level interview data on evaluating several access to health care topics.

Eligible Sample

All survey participants respond to this section. Several questions (HUQ020, HUQ082, HUQ084, HUQ086, HUQ088a-c) require survey participants to be 1 year of age or older. Question HUQ090 requires survey participants to be at least 4 years of age or older.

Interview Setting and Mode of Administration

Household interview; In-person.

The Interviewer Procedure Manuals and Exam Manuals can be found on the NHANES website.

The survey questionnaires can be found on the NHANES website.

Quality Assurance & Quality Control

For details on the QA/QC process for this component, please refer to the Interviewer Procedure Manuals and Exam Manuals.

Analytic Notes

HUQ010: This identical question is asked in the Current Health Status section of the Mobile Examination Center (MEC) CAPI Interview questionnaire (HSD010). There is a small difference in administration of the two questions: participants age 12-15 have proxy responses in the household questionnaire but provide self-reported responses for the MEC interview. Many participants of all ages gave different responses to this question in the household compared to the MEC, so analysts should consider which of the two versions of the question to use in analyses.

Question HUQ071 in NHANES 2003-2004 is comparable to question HUD070 in NHANES 2001-2002 and HUQ070 in NHANES 1999-2000.

For NHANES 2001-2002, question HUQ080 allows for all responses to the query on the number of hospitalizations in an acute care facility in the past 12 months, whereas question HUD080 in NHANES 2003-2004 and 1999-2000 has an upper limit of “6 or more.” Data users will need to recode HUQ080 to make it comparable to HUD080 when comparing the 2003-2004 or 1999-2000 data to the 2001-2002 data.

One survey response to Question HUQ084 had a value of “600” and was set to “missing.”
The questions on long-term care (HUQ081-HUQ089) were not included in NHANES 1999-2000, but are available for NHANES 2001-2002 and 2003-2004.

All other similarly named questions are comparable between the two surveys.
Please refer to the Analytic Guidelines for further details on the use of sample weights and other analytic issues at http://www.cdc.gov/nchs/nhanes/survey_methods.htm.

The HUQ data are publicly available at www.cdc.gov/nchs/nhanes.htm.

References

Codebook and Frequencies

SEQN - Respondent sequence number

Variable Name:
SEQN
SAS Label:
Respondent sequence number
English Text:
Respondent sequence number.
Target:
Both males and females 0 YEARS - 150 YEARS

HUQ010 - General health condition

Variable Name:
HUQ010
SAS Label:
General health condition
English Text:
{First/Next} I have some general questions about {your/SP's} health. Would you say {your/SP's} health in general is . . .
English Instructions:
CAPI INSTRUCTION: DISPLAY "FIRST" IF SP AGE IS >= 16 YEARS.
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Excellent, 3273 3273
2 Very good, 2535 5808
3 Good, 2788 8596
4 Fair, or 1225 9821
5 Poor? 297 10118
7 Refused 3 10121
9 Don't know 1 10122
. Missing 0 10122

HUQ020 - Health now compared with 1 year ago

Variable Name:
HUQ020
SAS Label:
Health now compared with 1 year ago
English Text:
Compared with 12 months ago, would you say {your/SP's} health is now . . .
Target:
Both males and females 1 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Better, 1852 1852
2 Worse, or 786 2638
3 About the same? 7004 9642
7 Refused 1 9643
9 Don't know 2 9645
. Missing 477 10122

HUQ030 - Routine place to go for healthcare

Variable Name:
HUQ030
SAS Label:
Routine place to go for healthcare
English Text:
Is there a place that {you/SP} usually {go/goes} when {you are/he/she is} sick or {you/s/he} need{s} advice about {your/his/her} health?
English Instructions:
CAPI INSTRUCTION: IF SP AGE < 12, DISPLAY "YOU" IN THE FOURTH DISPLAY AND DON'T DISPLAY THE "S" IN THE FIFTH DISPLAY.
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 8999 8999
2 There is no place 1069 10068 HUQ050
3 There is more than one place 52 10120
7 Refused 0 10120 HUQ050
9 Don't know 2 10122 HUQ050
. Missing 0 10122

HUQ040 - Type place most often go for healthcare

Variable Name:
HUQ040
SAS Label:
Type place most often go for healthcare
English Text:
What kind of place {do you/does SP} go to most often: is it a clinic, doctor's office, emergency room, or some other place?
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Clinic or health center 2286 2286
2 Doctor's office or HMO 6267 8553
3 Hospital emergency room 201 8754
4 Hospital outpatient department 203 8957
5 Some other place 88 9045
7 Refused 0 9045
9 Don't know 6 9051
. Missing 1071 10122

HUQ050 - #Times receive healthcare over past year

Variable Name:
HUQ050
SAS Label:
#Times receive healthcare over past year
English Text:
{During the past 12 months, how/How} many times {have you/has SP} seen a doctor or other health care professional about {your/his/her} health at a doctor's office, a clinic, hospital emergency room, at home or some other place? Do not include times {you were/s/he was} hospitalized overnight.
English Instructions:
CAPI INSTRUCTION: DISPLAY "12 MONTHS" ONLY IF SP'S AGE IS >= 1.
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
0 None 1250 1250
1 1 2082 3332 HUQ071
2 2 to 3 2987 6319 HUQ071
3 4 to 9 2551 8870 HUQ071
4 10 to 12 615 9485 HUQ071
5 13 or more 630 10115 HUQ071
77 Refused 0 10115 HUQ071
99 Don't know 7 10122 HUQ071
. Missing 0 10122

HUQ060 - How long since last healthcare visit

Variable Name:
HUQ060
SAS Label:
How long since last healthcare visit
English Text:
About how long has it been since {you/SP} last saw or talked to a doctor or other health care professional about {your/his/her} health? Include doctors seen while {you were} {he/she was} a patient in a hospital. Has it been . . .
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 6 months or less, 56 56
2 More than 6 months, but not more than 1 year ago, 70 126
3 More than 1 year, but not more than 3 years ago, 729 855
4 More than 3 years, or 340 1195
5 Never? 54 1249
7 Refused 0 1249
9 Don't know 1 1250
. Missing 8872 10122

HUQ071 - Overnight hospital patient in last year

Variable Name:
HUQ071
SAS Label:
Overnight hospital patient in last year
English Text:
{During the past 12 months, were you/{Was/was} SP} a patient in a hospital overnight? Do not include an overnight stay in the emergency room.
English Instructions:
CAPI INSTRUCTION: DISPLAY "12 MONTHS" ONLY IF SP'S AGE IS >= 1. DISPLAY "WAS SP" WITH LEADING CAPS, IF SP'S AGE IS <1.
Target:
Both males and females 0 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 999 999
2 No 9118 10117 HUQ081
7 Refused 0 10117 HUQ081
9 Don't know 5 10122 HUQ081
. Missing 0 10122

HUD080 - #Times overnite hospital patient/last yr

Variable Name:
HUD080
SAS Label:
#Times overnite hospital patient/last yr
English Text:
How many different times did {you/SP} stay in any hospital overnight or longer {during the past 12 months}?
English Instructions:
CAPI INSTRUCTION: DISPLAY "12 MONTHS" ONLY IF SP'S AGE IS >= 1. ENTER NUMBER.
Target:
Both males and females 0 YEARS - 150 YEARS
Hard Edits:
0 to 6
Code or Value Value Description Count Cumulative Skip to Item
1 to 5 Range of Values 978 978
6 6 times or more 21 999
77777 Refused 0 999
99999 Don't know 0 999
. Missing 9123 10122

HUQ081 - CHECK ITEM

Variable Name:
HUQ081
English Instructions:
BOX 1A. CHECK ITEM HUQ081: IF SP AGE>=1, CONTINUE. OTHERWISE, GO TO HUQ089
Target:
Both males and females 0 YEARS - 150 YEARS

HUQ082 - In long term care facility last 12 month

Variable Name:
HUQ082
SAS Label:
In long term care facility last 12 month
English Text:
During the past 12 months, {were you/was SP} a patient at a long term care or rehabilitation facility? Do not include residential facilities where health care was not provided.
Target:
Both males and females 1 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 83 83
2 No 9561 9644 HUQ086
7 Refused 0 9644 HUQ086
9 Don't know 1 9645 HUQ086
. Missing 477 10122

HUQ084 - Total # of days in long term facility

Variable Name:
HUQ084
SAS Label:
Total # of days in long term facility
English Text:
How many total days did {you/SP}stay in a long term care or rehabilitation facility?
English Instructions:
ENTER NUMBER
Target:
Both males and females 1 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
0 to 180 Range of Values 82 82
777 Refused 0 82
999 Don't know 0 82
. Missing 10040 10122

HUQ086 - Non SP HH member in care fac overnight

Variable Name:
HUQ086
SAS Label:
Non SP HH member in care fac overnight
English Text:
During the past 12 months, has anyone in your household (not including yourself) been in an acute care hospital, long term care facility, or rehabilitation facility overnight? Do not include clinics or same day stays.
Target:
Both males and females 1 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 513 513
2 No 9128 9641 HUQ089
7 Refused 0 9641 HUQ089
9 Don't know 4 9645 HUQ089
. Missing 477 10122

HUQ088a - Acute care facility

Variable Name:
HUQ088a
SAS Label:
Acute care facility
English Text:
What was the type of facility?
English Instructions:
CODE ALL THAT APPLY
Target:
Both males and females 1 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Acute care facility 441 441
7 Refused 0 441
9 Don't know 1 442
. Missing 9680 10122

HUQ088b - Long term care facility

Variable Name:
HUQ088b
SAS Label:
Long term care facility
English Text:
What was the type of facility?
English Instructions:
CODE ALL THAT APPLY
Target:
Both males and females 1 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
2 Long term care facility 29 29
. Missing 10093 10122

HUQ088c - Rehabilitation facility

Variable Name:
HUQ088c
SAS Label:
Rehabilitation facility
English Text:
What was the type of facility?
English Instructions:
CODE ALL THAT APPLY
Target:
Both males and females 1 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
3 Rehabilitation facility 66 66
. Missing 10056 10122

HUQ089 - CHECK ITEM

Variable Name:
HUQ089
English Instructions:
BOX 2. CHECK ITEM HUQ.089: IF SP AGE >= 4, CONTINUE. OTHERWISE, GO TO END OF SECTION.
Target:
Both males and females 0 YEARS - 150 YEARS

HUQ090 - Seen mental health professional /past yr

Variable Name:
HUQ090
SAS Label:
Seen mental health professional /past yr
English Text:
During the past 12 months, that is since {DISPLAY CURRENT MONTH} of {DISPLAY LAST YEAR}, {have you/has SP} seen or talked to a mental health professional such as a psychologist, psychiatrist, psychiatric nurse or clinical social worker about {your/his/her} health?
Target:
Both males and females 4 YEARS - 150 YEARS
Code or Value Value Description Count Cumulative Skip to Item
1 Yes 663 663
2 No 8124 8787
7 Refused 0 8787
9 Don't know 5 8792
. Missing 1330 10122